| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,212 |
992 |
$98K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,982 |
1,627 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
66 |
54 |
$4K |
| 92015 |
Determination of refractive state |
1,005 |
907 |
$2K |
| 92083 |
|
439 |
339 |
$1K |
| 92225 |
|
559 |
239 |
$667.91 |
| 92226 |
|
652 |
376 |
$462.50 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
20 |
15 |
$246.19 |
| 92201 |
|
60 |
56 |
$34.30 |
| 92202 |
|
85 |
69 |
$23.31 |
| 92250 |
|
20 |
14 |
$1.58 |